Indications for scar management Wounds caused by burns or skin grafting, trauma, surgery or disease that take more than 2-3 weeks to heal, can become hypertrophic and would then benefit from scar management intervention. The scar may also be itchy, tender or painful, and if over a joint may prevent full movement if the scarring contracts and tightens (develops a contracture). Factors that may influence occurrence of hypertrophic scars include: - wounds that have experienced infection or prolonged healing - the age of the patient, as well as their general wellbeing (co-morbidities) - the depth, size and location of the wound - the ethnicity of the patient, and/or a family history of raised scarring, (there is a greater incidence of keloid scars in darker skinned people or if there is a family history). Scar management assessment & treatment goals The Burns & Scar Management Therapist will assess the client’s scars or the potential for scarring that could occur from the injury/condition. A therapeutic treatment strategy will be evaluated and discussed with the client. Client consent for scar management intervention will be undertaken with the aims of: • minimising scarring • preventing contracture development • achieving optimal functional and cosmetic outcomes acceptable to the client • maximising functional independence Treatment for hypertrophic scarring is usually required for 12-18 months (Munroe 1995) or until the scars have matured i.e. the scars have become pale, soft, smooth and flat. The Role of the Burns/Scar Management Therapist • promotes early scar management intervention • prescribes custom made and ready-to-wear compression garments • utilises contact medias such as silicone sheeting • advises the client re scar management • educates the client, family/carers • facilitates psychological support.
Posted on: Sun, 23 Jun 2013 09:40:38 +0000
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